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Chronic Disease and Health Promotion Program Integration. Rosemarie Henson, MSSW, MPH Deputy Director Kaetz Beartusk, MPH Team Lead, Public Health Practice National Center for Chronic Disease Prevention and Health Promotion. Vision and Mission of NCCDPHP.

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Chronic Disease and Health Promotion

Program Integration

Rosemarie Henson, MSSW, MPH

Deputy Director

Kaetz Beartusk, MPH

Team Lead, Public Health Practice

National Center for Chronic Disease Prevention

and Health Promotion

vision and mission of nccdphp
Vision and Mission of NCCDPHP

Our VisionAll people living healthy lives free from the devastation of chronic diseases

Our MissionLeading efforts to promote health and well-being through prevention and control of chronic diseases

nccdphp goals
  • Prevent, delay, detect, and control chronic diseases
  • Contribute to chronic disease research and apply that research to put practical and effective intervention strategies into practice
  • Achieve equity in health by eliminating racial and ethnic disparities and achieving optimal health for all Americans
national center for chronic disease prevention and health promotion

Office of Public

Health Genomics

Division for Heart Disease

and Stroke Prevention

Muin J. Khoury, M.D.

Darwin Labarthe, M.D., M.P.H., Ph.D.



Division of Nutrition,

Physical Activity, and Obesity

William H. Dietz, M.D., Ph.D.


Division of Adolescent

and School Health

Division of

Oral Health

Howell Wechsler, Ed.D, M.P.H.

Kathleen Ethier, Ph.D.


Acting Director

Division of

Diabetes Translation

Office on

Smoking and Health

Ann Albright, Ph.D.

Matthew T. McKenna, M.D., M.P.H.



National Center for Chronic Disease Prevention and Health Promotion

Disease-Focused Divisions

Risk Factor Divisions

Population/Setting Divisions

Division of Cancer

Prevention and Control

Barbara Bowman, Ph.D.

Acting Director

Division of Adult and

Community Health

Wayne H. Giles, M.D., M.S.


Division of

Reproductive Health

John Lehnherr

Acting Director

framework for preventing chronic disease and promoting health
Framework for Preventing Chronic Disease and Promoting Health

Life Span and Settings

  • Worksites
  • - Schools
  • - Communities
  • Health Systems
  • Infants
  • Children and Adolescents
  • Adults and Older Adults

Priority Conditions

Underlying Risk Factors

  • Heart Disease
  • Stroke
  • - Cancer
  • Diabetes
  • Obesity
  • Arthritis
  • Oral Health
  • Tobacco
  • Nutrition
  • Physical Activity
  • Alcohol
  • Family History
prevent delay detect control chronic disease
Prevent, Delay, Detect & Control Chronic Disease

Division for Heart Disease and Stroke Prevention

Office on Smoking and Heath

Division of Nutrition, Physical Activity and Obesity

Division of Adolescent and School Health

Division of Adult and Community Health

Office of Public Health Genomics

Heart Disease

early efforts
Early Efforts
  • Comprehensive Cancer Control
  • REACH (Racial and Ethnic Approaches to Community Health)
  • Steps to a HealthierUS
  • Chronic Disease Program Linkages with Quitlines
integration initiative background
Integration Initiative Background

FY \'05

  • Began working with states to understand the program integration efforts implemented by states
  • Siloed programs

FY \'06

  • Integration workshop sponsored by CDC and NACDD

FY \'07

  • Offers to Participate (Negotiated Agreements)

FY \'08

  • Activities

- Simplified FOAs

- Negotiated Agreements

- Collaborative FOAs

nccdphp vision for program integration
NCCDPHP Vision for Program Integration

To nurture and sustain a culture for program

integration across chronic disease and health

promotion, and other related programs

goals for integration
Improve program reach and impact by enhancing synergies among approaches to different diseases, risk factors, populations, and settings

Promote opportunities for greater flexibility, creativity and responsiveness by our partners

Increase efficiencies across categorical disease programs

Provide consistency of CDC processes, reporting and interpretation of policy across programs for states and other partners

Maximize and leverage limited federal resources

Goals for Integration

What integration efforts seem to create the favorable environment that is necessary for implemented programs to achieve their intended chronic disease outcomes.

  • Do/did integration efforts produce improvements in intra-organization collaboration, efficiencies etc
  • Do/did integration efforts produce the intended external improvement such as increased outreach/access to populations, leveraged funding etc
  • Do/did the increased leverage, efficiencies, collaboration lead to enhanced reach and /or significant policy or environmental changes
nccdphp s integration approaches
NCCDPHP’s Integration Approaches
  • 2008 Streamlined FOAs for all Center programs
  • 2009 Collaborative Performance Agreements for Pacific Basin Programs (BRFSS, Diabetes, Tobacco)
  • 2009 Collaborative FOA for National Programs (BRFSS, Tobacco, Diabetes + DACH Healthy Communities)
  • 2009-2011 Negotiated Agreement Pilots
integration challenges
Integration Challenges
  • Organization norm change
  • Technical Assistance/Consultation
  • Business Processes
  • MIS (Management Information Systems)
  • Reporting Requirements
  • Evaluation
  • Sharing lessons learned, challenges, successes
early successes
Early Successes
  • Integrated work plan (process & the document)
  • Increased communication and engagement among staff
  • Recognizing need for consistency in our terminologies, processes, and messages
  • Engagement with PGO in new ways of doing business
early observations
Early Observations
  • Organizational change is difficult, it takes time
  • Good relationships between categorical Project Officers and Program Managers need to be preserved
  • Staff at all levels must be engaged
  • Processes must be transparent
  • Need to create a learning organization where people share information freely and create new systems for open communication
chronic disease program integration learning community
Chronic Disease Program Integration Learning Community

Vision: An opportunity for continuous learning across chronic disease programs to exchange relevant tools and approaches for building collaborative knowledge and to propel program integration and integrative thinking

  • Program Integration – On Demand
  • Program Integration Networking Calls
  • Program Integration Webinar Series